Yia Yias Daycare

During the renewal inspection certification rep reviewed staff #1, #2, #3, #4, #5, #6, #7, #8, #9 and 10 record and observed verification of experience was not in record.

At the time of renewal inspection, record of staff person #6, #10 did not include complete PA state police clearance. Record of staff person #11 did not include NSOR Certification form, record of staff person #12 did not include PA state police clearance, PA child abuse clearance, FBI clearance. Record of staff person of staff #13 did not include a complete PA State police or FBI clearance required upon hiring. Staff person #6, #10, #11, #12 were not provisional hires.

At the time of renewal inspection observed 12 children outside ranging in age from older toddler to preschool with only 2 staff persons present. Later on, observed 15 children in Room #5 ranging in age from older toddler to preschool with 2 staff assigned to this group

At the time of renewal inspection, document that staff person #5, and #6 received training regarding the emergency plan at the time of initial employment was not observed.

At the time of renewal inspection, cribs were not labeled in Room #1.

At the time of renewal inspection, a health report of staff person #7 did not include the individual's professional title and there were no date next to the siggnature.

At the time of renewal inspection, health assessment of staff person #13 did not include tuberculosis screening by the Mantoux method at initial employment.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

At the time of renewal inspection, record of staff person #1, #2, #3, #4, #7, #8, #9, #10, #11, and #12 did not include Pennsylvania Health and Safety Update 2022 professional development training.

At the time of inspection, file for staff person #1, #2 did not include verification that staff participated in fire safety training at least annually. Fire safety training on file of staff person #1 was from 2/6/22, staff person #2 completed fire safety training on 2/11/22.

At the time of inspection, the files for staff member #3, #4, and #9 did not include an annual staff evaluation.

At the time of renewal inspection, record of staff person #9 hired for the position of an assistant group supervisor, did not include verification of 2 years child care experience required prior to service at the facility.

At the time of renewal inspection, agreement of child #1, #3, #5, #6, #7, #8, and #9 didn't specify the date of the child's admission.

At the time of renewal inspection, emergency contact form of child #1, #2, and #3 did not include the work address and phone number of the enrolling parent.

At the time of renewal inspection, emergency contact information of child #2 and #4 did not include the written consent signed by a parent for emergency medical care.

At the time of renewal inspection, emergency contact information did not include information on the child #1 and #2 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

At the time of renewal inspection, emergency contact information of child #6 and #8 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

At the time of the inspection, emergency contact information of child #4 did not include the address of the individual designated by the parent to whom the child may be released.

At the time of renewal inspection, emergency contact forms were not updated in Room #1, #2, #3, #4, and #5.

At the time of renewal inspection, a record of child #2 and #4 didn't contain signed parental consent for administration of medications or special dietary needs and/or for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of renewal inspection, fie of staff person #11 included only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File of staff person #13 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection file of staff person #1, #2 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. Record of staff person #1, #2 included only 11 hours.

At the time of the complaint investigation, heath record of child #1 did not include include influenza immunization recommended by ACIP. Health record of child #2 did not include HIB immunization and 4th dose of PCV immunization. Health record of child #3 did not include 4th doze of PCV immunization. Health record of child #4 did not include immunization record. A letter of exemption was not observed in the file of child #1, #2, and #3.

At the time of the complaint investigation, file of child #4 did not include immunization record. An exemption letter from the parent was not dated and was not for religious believes or strong personal objections. The letter included a statement of following the recommended schedule and vaccine damage, but was not written, signed and dated by child's physician, physician's assistant or CRNP.

At the time of unannounced monitoring inspection observed 13 children ranging in age from young toddlers to preschoolers with staff #1 and #2 on the fenced playground.

At the time of renewal inspection, file of staff person #2 hired on 10/19/21 did not include FBI clearance required by DHS and mandated reporter training which is required within 90 days of hire. File of staff person #3 hired on 10/20/21 did not include mandated reporter training which is required within 90 days of hire. File of staff person #5 hired on 1/17/22, who is a provisional hire, did not include Disclosure Statement and verification of request for NSOR certificate. Provisional Hire Waiver on file is from 10/25/20.

At the time of renewal inspection observed 9 older toddlers and 8 preschoolers with two staff persons present while staff #1 left the room.

At the time of renewal inspection the documentation that staff person #4 hired on 12/13/21 and staff person #5 hired on 1/17/22 received emergency plan training at the time of initial employment was not observed.

At the time of renewal inspection observed 6 broken vinyl tiles that had missing parts on the floor near the door to Room #6

At the time of renewal inspection observed that the rest equipment in Room #5 was not labeled for the use of a specific child.

At the time of renewal inspection, a health assessment of staff person #3 and #5 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection observed that a written record of fire drills do not include specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the number of children who participate in the fire drill.

At the time of renewal inspection an agreement of child #1 did not specify the persons designated by a parent to whom the child may be released. Emergency contact form of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

At the time of renewal inspection, health report of child #2 was not complete.

At the time of renewal inspection, a record of child #5 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

At the time of renewal inspection file of staff person #4 included only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At the time of renewal inspection, file of staff person #3 hired on 10/20/21 did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation required within 90 days of hire.

At the time of initial inspection on 10/4/21, file of staff person #1, who holds the position of the director, included child abuse clearance for volunteer purposes.

At the time of initial inspection on 10/4/21, first aid kits in every classroom did not contain soap.

At the time of renewal inspection on 10/4/21 observed two white shelves in Room #5 which were unstable and not secure. These items could fall and pose a hazard to the children in care.

At the time of renewal inspection on 10/4/21, provider did not provide documentation of proof of purchase and date of purchase of an interconnected system.

At the time of initial inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of emergency was not posted in every child care space.

At the time of renewal inspection on 10/04/2021, a written report of initial health assessment of staff person #1 did not include the results of initial tuberculin skin test.